Trial of Labour after one Caesarean Section-Five year Experience in a Tertiary Care Hospital, Quetta

Abstract

Objectives: To observe frequency and outcome of trial of labour after one caesarean section.
Methodology:  This retrospective analytical study was conducted at Department of Obstetrics and Gynecology unit-4 Bolan Medical Complex Hospital, Quetta, from 1st January 2012 to 31st December, 2016,  included review of clinical records of all patients who were previous one caesarean section and came in emergency for delivery and given trial of labor for vaginal delivery. These included booked, un-booked as well referred cases.
Results: 0ut of 33,396 total births, 943 (2.8%) patients were with the previous 1 caesarean section. 480 (50.9%) patients were given trial for vaginal delivery. Out of which 290(60.4%) delivered vaginally and 190 (40.6%) underwent repeat caesarean section. 174(60%) of patients were multipara who delivered vaginally. The birth weight of baby were between 2.5 to 3.5kg in 90% 0f vaginal deliveries after caesarean section.
Conclusion: Vaginal birth after cesarean section has a high success rate and it should be considered as an option in patients with previous one cesarean delivery.